Snyder Christopher J, Bleedorn Jason A, Soukup Jason W
1 Veterinary Dentistry and Oral Surgery, Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, USA.
2 Department of Surgery, Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, USA.
J Vet Dent. 2016 Sep;33(3):160-169. doi: 10.1177/0898756416671060.
Discontinuities of the mandible can occur for a variety of reasons including primary pathology of bone, pathologic fracture secondary to periodontal disease, and segmental resection for the treatment of neoplasia. Surgical intervention is necessary in many cases to establish normal occlusion and normal mandibular function. Rigid stabilization and treatment of these defects can be challenging due to the limited availability of bone for fixation as well as limited soft tissue coverage. This case report describes successful treatment of a nonunion fracture using cortical allograft and locking titanium miniplates. Complete osseointegration and bone healing were achieved, allowing for complete return to normal occlusion and function.
下颌骨连续性中断可能由多种原因引起，包括骨原发性病变、牙周病继发的病理性骨折以及为治疗肿瘤而进行的节段性切除。在许多情况下，需要进行手术干预以建立正常的咬合关系和下颌功能。由于用于固定的骨量有限以及软组织覆盖不足，对这些缺损进行坚固固定和治疗具有挑战性。本病例报告描述了使用皮质同种异体骨和锁定钛微型钢板成功治疗骨不连骨折的情况。实现了完全骨整合和骨愈合，使患者能够完全恢复正常咬合和功能。
